Practice Restrictions

As from November 24, 2015, the following voluntary cease-to-practise
Undertaking, Acknowledgement and Consent by Dr. David Isidor Gluckman is
imposed as a term, condition and limitation on the certificate of registration
held by Dr. Gluckman:
UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
("Undertaking")
of
DR. DAVID ISIDOR GLUCKMAN
("Dr. Gluckman")
to
COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO
(the "College")
________________________________________________________________________
A. PREAMBLE
(1) I, Dr. Gluckman, certificate of registration number 58070, am a member of
the College. The College has inquired into my compliance with the
requirement to participate in a program of continuing professional
development.
(2) I, Dr. Gluckman, have ceased to practise medicine due to retirement.
B. UNDERTAKING
(3) I, Dr. Gluckman, undertake that, effective immediately, I will not
practise medicine in any jurisdiction until each and every one of the
following conditions have been met:
(a) I provide a minimum of forty-five (45) days' notice to the College
of my intent to return to the practice of medicine;
(b) I provide the College with proof that I am participating in a
program of continuing professional development that meets the
requirements for continuing professional development of the Royal
College of Physicians and Surgeons of Canada, the College of Family
Physicians of Canada, or an organization that has been approved by
the College for that purpose that meets the requirements for
continuing professional development set by the Royal College of
Physicians and Surgeons of Canada or the College of Family
Physicians of Canada; and
(c) The College approves my return to the practice of medicine.
(4) I, Dr. Gluckman, undertake that upon signing this Undertaking I shall
forward a request to the General Manager of the Ontario Health Insurance
Plan ("OHIP") that my billing number be deactivated for services rendered
after the date I cease to practise and before the date the College agrees
that I may return to practise in accordance with the provisions of this
Undertaking. If I do not have an active Ontario Health Insurance Plan
("OHIP") billing number, I undertake to provide proof of same to the
College.
(5) I, Dr. Gluckman, undertake to abide by the College's Policy on Practice
Management Considerations for Physicians Who Cease to Practise, Take an
Extended Leave of Absence or Close Their Practice Due to Relocation, a
copy of which is attached hereto as Appendix "A".
C. ACKNOWLEDGEMENTS
(6) I, Dr. Gluckman, acknowledge that all appendices attached to or referred
to in this Undertaking form part of this Undertaking.
(7) I, Dr. Gluckman, acknowledge and agree that in considering my request to
return to practice, the Registrar may, among other things:
(a) request that I agree to specified terms, limitations or conditions
being placed upon my certificate of registration; and
(b) request that I enter into an appropriate assessment and/or
monitoring agreement with the College.
(8) I, Dr. Gluckman, acknowledge and agree that I shall be solely responsible
for payment of all fees, costs, charges, expenses, etc. arising from the
implementation of any of the provisions of this Undertaking.
(9) I, Dr. Gluckman, undertake to comply with the provisions of this
Undertaking and acknowledge that a breach by me of any provision of this
Undertaking may constitute an act of professional misconduct and/or
incompetence, and may result in a referral of specified allegations to
the Discipline Committee of the College.
(10) I, Dr. Gluckman, acknowledge and confirm that I have read and understand
the provisions of this Undertaking and that I have obtained independent
legal counsel in reviewing and executing this Undertaking, or have waived
my right to do so.
(11) I, Dr. Gluckman, acknowledge that this entire Undertaking constitutes
terms, conditions, and limitations on my certificate of registration for
the purposes of section 23 of the Health Professions Procedural Code,
which is Schedule 2 to the Regulated Health Professions Act, 1991, S.O.
1991, c. 18, as amended. I understand that this Undertaking shall be
information on the College's Register that is available to the public
during the time period that the Undertaking remains in effect.
(12) I, Dr. Gluckman, acknowledge that the following summary will appear on
the College's Register that is available to the public during the time
period that this Undertaking remains in effect:
Dr. Gluckman has voluntarily ceased to practise medicine due to
retirement and therefore cannot see any patients or provide any
medical advice or services.
D. CONSENT
(13) I, Dr. Gluckman, give my irrevocable consent to the College to make
appropriate enquiries of OHIP and any person or institution who may have
relevant information, in order for the College to monitor my compliance
with the provisions of this Undertaking.
(14) I, Dr. Gluckman, acknowledge that I have executed the OHIP consent form,
attached hereto as Appendix "B" and that the consent forms part of this
Undertaking.

Concerns

Source: MemberActive Date: November 24, 2015Expiry Date: Summary: Summary of the Undertaking given by Dr. David Isidor Gluckman to the College of Physicians and Surgeons of Ontario, effective November 24, 2015:

Dr. Gluckman has voluntarily ceased to practise medicine due to retirement and therefore cannot see any patients or provide any medical advice or services.